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Archived: Castle Park

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Inspection report

Date of Inspection: 16, 17 April 2014
Date of Publication: 24 May 2014
Inspection Report published 24 May 2014 PDF | 90.62 KB

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 16 April 2014 and 17 April 2014, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members, talked with staff, reviewed information sent to us by local groups of people in the community or voluntary sector and used information from local Healthwatch to inform our inspection.

Our judgement

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

Reasons for our judgement

People’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. We observed people's care and support during the visit and saw that they were well supported. Most people we spoke with told us they were satisfied with the care and support they received and we saw they were treated respectfully. We observed an activity taking place and saw people were encouraged to take part and to be as independent as possible. One person told us “The staff are good” and another said “Nothing is too much trouble”. A visitor told us they were satisfied with the care provided to the person they were involved with.

Our observation showed that people were clean and tidy and were taken to the toilet in a timely manner. We saw pressure relieving equipment was available as required and moving and handling equipment was used appropriately.

Our previous visit in January 2014 found that meal times were disorganised and that some people were waiting a long period for their meals. In addition there was no access in the communal areas for drinks between meals. We told the provider to take action. We saw on this inspection visit that the meal time was a pleasant experience for people and that those people requiring support were assisted in a timely and sensitive manner. We also saw juice dispensers had been purchased and were accessible for people between meals. People told us they enjoyed their meals and one person said “The food is wonderful”.

We saw planned activities taking place during our inspection visit and some people had been out into the community in the morning. There were regular activities planned that included visits in to the community, craft sessions and baking as well as hand massage and nail care on an individual basis.

Our previous visit in January 2014 found that people were not fully involved in making decisions about their care. We told the provider to take action. We looked at three people’s care and support records and saw that although this had improved on this visit, consent to care and treatment was being obtained inconsistently. We reported information about this under outcome 2.

We looked at three people’s care and support records. We saw that the records were up to date and that risk assessments for key areas such as falls, nutrition and pressure ulcers were updated monthly. There were corresponding care plans in place where a risk had been identified that gave clear instructions to staff on how to provide the care. The records we saw also showed us that medical observations such as blood pressure, temperature, pulse, respiration and weight were up to date and visits to by other health professionals such as General Practitioner, optician and chiropodist were organised as required.

The staff we spoke with knew what support individuals needed and respected the individuality of the people using the service. We found they were able to deal with a range of care needs including end of life care and people with dementia. Staff told us they felt well supported by the senior staff and that access to training was good.